<div align="center"><span id="msg"></span></div>
<form method="post" action="">
<table class="registration" border=1><tr>
<th><b>&nbsp;{TITLE}</b></font></th>
<th><b></b></th></tr>

<tr>
<td height="36"><div align="right">{DISABLE_EMAIL}</td><td>&nbsp; <input type="radio" name="dis_email" {D_EMAIL_Y} value="1" /> Yes
<input type="radio" name="dis_email" {D_EMAIL_N} value="0" /> No</td></tr>

<tr>
<td height="36"><div align="right">{SMTP}</b></td><td>&nbsp; <input type="radio" name="smtp" {SMTPYES} value="1" /> Yes
<input type="radio" name="smtp" {SMTPNO} value="0" /> No</td></tr>

<tr>
<td height="36"><div align="right">{SMTP_SERVER}</td><td>&nbsp; <input value="{SMTP_SERVER_VALUE}" type="text" name="smtp_server" /></td></tr>

<tr>
<td height="36">
<div align="right">{SMTP_SECURE}</td><td>&nbsp; <input value="{SMTP_SECURE_VALUE}" type="text" name="smtp_secure" /></td></tr>

<tr>
<td height="36">
<div align="right">{SMTP_PORT}</td><td>&nbsp; <input value="{PORT_VALUE}" type="text" name="smtp_port" /></td></tr>

<tr>
<td height="36">
<div align="right">{SMTP_UN}</td><td>&nbsp; <input size="35" value="{SMTP_UN_VALUE}" type="text" name="smtp_un" /></td></tr>

<tr>
<td height="36">
<div align="right">{SMTP_PW}</td><td>&nbsp; <input value="{SMTP_PW_VALUE}" type="password" name="smtp_pw" /></td></tr>


</table>	

        <div align="center"><td height="36"><input type="submit" class="menuButtons" value="{CONFIRM}" />
 	    </tr></td></div></table></form>